Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, Their Family Caregivers, and Staff

The relationship between small-scale care and activity involvement of residents with dementia

“…Our findings are in line with those of te Boekhorst et al (2009) and Verbeek et al (2010) that residents of group living homes score higher on the "having something to do" subdomain of quality of life than residents of regular nursing homes. With regard to the results from the US research of Kuhn et al (2002) and Wood et al (2005Wood et al ( , 2009, it is possible that our contradictory results are caused by international differences in dementia care or care staff.…”

“…Yet, these findings were often generated from anecdotal research, or could also be attributed to staff characteristics (Fleming and Purandare, 2010). Two Dutch studies on the effect of group living home care compared with traditional nursing home care found limited positive effects with respect to some subdomains of residents' quality of life (Te Boekhorst et al, 2009), but no effects on overall quality of life (Verbeek et al, 2010). Both research groups, however, found a modest positive effect of group living home care on the subdomain "having something to do."…”

“There's No Place Like Home”: A Scoping Review on the Impact of Homelike Residential Care Models on Resident-, Family-, and Staff-Related Outcomes

“…Andrén and Elmståhl 30 reported significant lower total burden in the families of residents of the small-scale dementia units compared with those of residents of traditional NH units. In contrast, te Boekhorst 34 found no differences in informal caregiver burden in small-scale and traditional NH settings and Verbeek and colleagues 35 found no group by time interaction effects in family burden in these 2 settings. Contact between the family and the resident after the institutionalization was investigated in 2 studies; neither of them found significant differences between homelike and traditional NH settings.…”

“…Findings were mixed in the studies of dementia-specific small houses. Verbeek et al 35 reported no significant group by time differences in staff and family ratings of residents' quality of life for residents living in small-scale dementia units and those living in traditional NH settings. Nakanishi et al 42 reported that according to the staff, quality of life was higher for residents in homelike versus traditional NH units.…”

“…Family satisfaction was measured in 1 study and was significantly higher in families of residents in the homelike settings than those of residents in traditional NHs in 1 study. 37 Verbeek et al 35 compared families' reports of the amount of assistance they provided with resident care in small house and traditional NH settings and reported no significant differences. Three studies compared family burden in dementia-specific homelike and traditional NH settings.…”